Sexual dysfunction in alcohol dependence

Abstract

Alcohol influences human sexual behaviour by acting onlimbic-hypothalamic hedonic motivational pathways.Traditionally, alcohol is used to enhance sexual function andis associated with risky sexual behaviours. However, alcoholassociated sexual dysfunction is well known and may becaused by various frequently comorbid physical andpsychological conditions and by direct effects of alcohol aswell. Strained interpersonal relationships, commonly seenin patients with alcohol dependence, also contribute tosexual dysfunctions. Various medications used in treatmentof commonly seen co-morbidities and de-addictionprophylaxis are also associated with sexual dysfunction.Sexual dysfunction, thus interferes with treatmentadherence and effectiveness of de-addiction interventions.Managing sexual dysfunction related distress is challengingand often requires an integrated approach comprising ofpharmacological and non-pharmacological interventions.Partner participation and consultation liaison are keyaspects. In the absence of physical co-morbidities, alcoholuse related sexual dysfunction is often reversible.